Individual provider Active NPI

Krikor Tufenkjian, M.D.

  • Neurology Physician
  • Philadelphia, PA
National Provider Identifier
1407040157
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD456769 Issued in PA
Practice address
219 N Broad Street
7TH Floor
Philadelphia, PA 19107-1519
Phone
(844) 464-6387
Fax
(215) 239-3037
NPI assigned
Sep 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X MD456769 PA
Neurology Physician 2084N0400X MD456769 PA Primary

Addresses

Primary practice location

219 N Broad Street
7TH Floor
Philadelphia, PA 19107-1519

Mailing address

One Medical Center Blvd.
Acp, Suite 232
Upland, PA 19013-3902
Phone (844) 464-6387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, DE3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170130001874 PA Practitioner - Neurology 5395989552 Reassigns benefits to 3 organizations
I20200518001358 NJ Practitioner - Neurology 5395989552 Reassigns benefits to 2 organizations
I20240412001678 DE Practitioner - Neurology 5395989552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gni Neuroservices, LLCGroup PAC ID 7416277702, 25 clinicians

Practice addresses (Care Compare)

10 State Route 31 N
Pennington, NJ 08534-0717
Phone (844) 464-6387

1205 Langhorne Newtown Rd
Suite 211
Langhorne, PA 19047-1221
Phone (844) 464-6387

2601 Holme Ave
Philadelphia, PA 19152-2007
Phone (844) 464-6387

501 Bath Rd
Suite 201
Bristol, PA 19007-3101
Phone (844) 464-6387

701 N Clayton St
Mob Suite 217
Wilmington, DE 19805-3165
Phone (844) 464-6387

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27312NEMDHome Health Registered Nurse
MD456769PAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Drexel University Current Accepting new patients
Drexel University CurrentSince Jan 1, 2017 Accepting new patients
Drexel University CurrentSince Jan 1, 2017 Accepting new patients
Global Neurosciences Institute LLC Neurology CurrentSince Feb 18, 2024 Accepting new patients

Locations

701 N Clayton St
Ste 217
Wilmington, DE 19805
Phone (302) 433-6545

3100 Princeton Pike
Ste 3D
Lawrenceville, NJ 08648
Phone (609) 896-2505

150 Century Pkwy
Ste 104
Mount Laurel, NJ 08054

10 Route 31 N
Pennington, NJ 08534
Phone (609) 303-3064

601 Hamilton Ave
Trenton, NJ 08629
Phone (609) 599-5000

501 Bath Rd
Ste 201
Bristol, PA 19007
Phone (215) 785-9055

1 Medical Center Blvd
Ste 232
Chester, PA 19013

1205 Langhorne Newtown Rd
Ste 211
Langhorne, PA 19047
Phone (215) 335-6000

2701 DeKalb Pike
Ste 203
Norristown, PA 19401
Phone (610) 534-6270

160 E Erie Ave
Ste 2205
Philadelphia, PA 19134
Phone (215) 330-6025

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

160 E Erie Ave
Ste A308
Philadelphia, PA 19134

219 N Broad St
Fl 7
Philadelphia, PA 19107
Phone (215) 751-0606

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660

Interoperability endpoints

  • Direct secure messaging: ktufenkjian2017849@direct.trinity-health.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBJDCD
  • Direct secure messaging: krikor.tufenkijan@gni.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1407040157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BLVD.",
            "address_2": "ACP, SUITE 232",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "844-464-6387",
            "fax_number": "215-239-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N BROAD STREET",
            "address_2": "7TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071519",
            "telephone_number": "844-464-6387",
            "fax_number": "215-239-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFENKJIAN",
        "first_name": "KRIKOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "PA",
            "license": "MD456769",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD456769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.